Urology
What does a urologist do?
A urologist is a surgeon who specialises in diseases of the urinary tract and the male reproductive system. Patients may be referred to a urologist if their doctor suspects they may need treatment for a condition relating to bladder, urethra, ureters, kidneys and adrenal glands. In men, urologists treat disorders related to the epididymis, penis, prostate, seminal vesicles, and the testes.
Urologists treat a diverse range of conditions:
Urinary tract infections (UTIs): Common symptoms include pain when urinating, going to the toilet frequently, incontinence, nausea, vomiting, fevers, and chills.
Incontinence: A malfunction in the urinary system can lead to involuntary loss of bladder control. In women, this may result from a weakening of the pelvic floor muscles during pregnancy.
Male infertility: This can result from damage to the male reproductive tract and a variety of sperm disorders. Surgery can sometimes help.
Urologic oncology: Treatment of cancers that relate to the urological or male reproductive system, such as bladder cancer and prostate cancer.
Bladder prolapse: when the tissues and muscles of the pelvic floor are no longer able to support the organs in the pelvis, the organs can drop from their usual position.
Cancers: the bladder, kidneys, prostate gland, testicles, and any other cancer that affects the urinary system or, in men, the reproductive system.
Enlarged prostate: Benign prostatic hyperplasia (BPH) affects around 1 in 3 men over the age of 50 years. An overgrowth of cells in the prostate gland causes the urethra to constrict, leading to problems with urination.
Erectile dysfunction: The penis is unable to attain sufficient rigidity to fully participate in sexual intercourse.
Interstitial cystitis or painful bladder syndrome: A chronic inflammatory bladder condition can produce discomfort ranging from mild to severe.
Kidney and ureteral stones: Small, hard deposits made from mineral and acid salts form in the kidneys but can pass through into the ureters. They can affect urination and cause pain, nausea and vomiting.
Prostatitis: Infection or inflammation of the prostate can cause painful urination or ejaculation. It can be acute or chronic.
Undescended testes, or cryptorchidism: Normally, the testicles form inside the abdomen of a foetus and descend into the scrotum before birth. If one or both does not descend, sperm production can be impaired, and there is a risk of complications.
Urethral stricture: scarring of the urethra can narrow or block the path of urine flowing from the bladder. Causes include infection, inflammation or injury. Symptoms include painful urination and reduced output. It can lead to complications such as prostatitis and urinary tract infections.
Dr Neil Joshi
Conditions treated and services offered by Dr Neil Joshi:
- Laser stone surgery for kidney and bladder stones
- Bladder Cancer
- Hormone Blockade and other medical therapy for prostate cancer
- Laparoscopic Surgery
- Prostate Cancer
- Prostate Brachytherapy
- Benign Prostate Disorders
- PSA and Prostate Health Index Testing, Prostate Biopsy and Prostate MRI
- Radical Prostatectomy
- Robotic Surgery
- Vasectomy and microsurgical vasectomy reversal
- Female and male incontinence
- Urodynamics
- Male infertility and IVF/ICSI/Testicular sperm extraction
- Artificial sphincters and slings
- Botox for bladder overactivity
- Spinal Cord pathology affecting bladder and kidney function
- Urolift insertion
- Penile implants for erectile dysfunction
- Sacral nerve stimulators
- SPACEOAR gel and gold seed insertion for radiation treatment